Your Renewal Premium Receipt (Provisional)

Receipt Number: OT010072550

Date: 09-07-2019

Dear Chandan Paul,

Greetings from Exide Life Insurance!

We thank you for making your renewal premium payment online towards your Exide Life Insurance policy as per the details given below.

Policy Owner name MrChandan Paul

Life Assured name Mr Chandan Paul

Plan Name Exide Life Jeevan Uday

Policy Number 03129950

Billing frequency Annual

Premium due date 22-06-2019

Base premium `9600.00

Adjustments `0.00

Late payment interest `0.00

Goods & Services Tax (GST)* ` `216.00

Amount paid `9816.00

Method of payment Credit_Card

Convenience fees of `50.00 is applicable on every premium payment transaction made using a Credit Card.

Consolidated Revenue Stamp Duty paid to the Government.

Please get in touch with us for any further assistance.

We hope to serve you again.

This is a system generated document, hence does not need a signature.

• Premium paid in advance would be credited to your policy on the due date. • Tax benefits on insurance premium are as per prevailing income tax laws and are subject
to amendments made thereto from time to time. • *Goods & Services Tax (GST) or any other applicable taxes shall be levied as per prevailing tax laws and regulations.
• For Unit Linked Policies, GST or any other applicable taxes will be deducted through cancellation of units as per prevailing laws and regulations. • Avoid the
inconvenience of needing to remember due dates or standing in queues to pay your premium by signing up for ECS or SI for direct debit of premium from your bank
account. To know more visit exidelife.in or your nearest Exide Life Insurance Office. • As per Government of India directive, if you are holding single or multiple policies
where your aggregate premium payment for the financial year is 50,000 or above, please submit PAN card or form 60 / form 61 as applicable.• Please ignore if you have
already submitted the documents. • If payment has been made by cheque,ECS, Standing Instructions, Online the continuation of cover under this policy and the validity
of this receipt is subject to realization of the payment. • Revival of policies is subject to Under writing guidelines and other regulations of Exide Life Insurance Company
Limited.

In case of ULIP Policies: the investment risk in investment portfolio is be borne by the policyholder. For premiums received after 3:00 PM, the NAV of next business day
will be applicable. For ULIP Policies the premium paid is subject to investment risks associated with capital markets and the NAVs of the units may go up or down based
on the performance of fund and factor influencing the capital market and the insured is responsible for his/her decisions.

Exide Life Insurance CompanyLimited is a wholly owned subsidiary of Exide Industries Limited. The trademark "Exide" is owned by Exide Industries Limited and licensed to Exide Life
Insurance vide Trademark license agreement dated 30th October 2014.IRDAI Registration No. 114, CIN: U66010KA2000PLC028273.

Call : 1800 419 8228 (TOLL FREE); +91 80 4134 5444 Email : care@exidelife.in Visit : exidelife.in

Registered Office: Exide Life Insurance Company Limited, 3rd Floor, JP Techno Park, No.3/1, Millers Road, Bengaluru - 560 001.
IRDAI Registration No. 114 CIN: U66010KA2000PLC028273
 IRDAI Notice: Beware of spurious phone calls and fictitious/ fraudulent offers. IRDAI clarifies to public that IRDAI or its officials do not involve in activities like sale of any
kind of insurance or financial products nor invest premiums. IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police
complaint along with the details of phone call number.

Call : 1800 419 8228 (TOLL FREE); +91 80 4134 5444 Email : care@exidelife.in Visit : exidelife.in

Registered Office: Exide Life Insurance Company Limited, 3rd Floor, JP Techno Park, No.3/1, Millers Road, Bengaluru - 560 001.
IRDAI Registration No. 114 CIN: U66010KA2000PLC028273